气候变化领域集成服务门户(CCPortal): Patient-planetary health co-benefit prescribing in a circumpolar health region: a qualitative study of physician voices from the Northwest Territories, Canada

CCPortal

DOI	10.1136/bmjopen-2023-081156
	Patient-planetary health co-benefit prescribing in a circumpolar health region: a qualitative study of physician voices from the Northwest Territories, Canada
	Redvers, Nicole; Hartmann-Boyce, Jamie; Tonkin-Crine, Sarah
发表日期	2024
ISSN	2044-6055
起始页码	14
结束页码	3
卷号	14 期号:3
英文摘要	Background Despite climate change being described as a code red for humanity, health systems have been particularly slow in both climate mitigation and adaptation responses. The effects of climate change on health and health systems will not be felt equally, with underserved and marginalised communities disproportionately impacted. The circumpolar region is warming at 3-4 times the global rate, amplifying already existing socioeconomic barriers and health inequities, with particular amplified effects for the substantial Indigenous population in the area.Objectives and setting We therefore sought to explore perspectives of physicians around patient-planetary health (P-PH) co-benefit prescribing in a circumpolar region in the Northwest Territories (NWT), Canada, known to be one of the ground zero levels for climate change.Methods Thirteen semi-structured physician interviews were carried out in the NWT region between May 2022 and March 2023 using purposive sampling. Interviews were transcribed verbatim and reflexive thematic analysis was carried out to identify key themes.Results There were three main themes identified including (1) current healthcare system does not support planetary health, (2) supporting patient-planetary health is currently difficult for clinicians and (3) considering change in the NWT to support patient-planetary health. Participants noted key opportunities to move planetary health forward, with the NWT having the potential to be an innovative model for planetary health-informed change for other health systems.Conclusion The NWT health system has unique features due to its rural and remote nature and smaller population base. Despite this, our study identified some key opportunities for advancing P-PH co-benefit efforts. The identified opportunities may be considered in future intervention, organisational change and policy-making efforts with potential relevance in other settings.
英文关键词	Physicians; QUALITATIVE RESEARCH; Health policy
语种	英语
WOS研究方向	General & Internal Medicine
WOS类目	Medicine, General & Internal
WOS记录号	WOS:001179427300012
来源期刊	BMJ OPEN
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/308990
作者单位	Western University (University of Western Ontario); University of Oxford; University of Oxford; University of Massachusetts System; University of Massachusetts Amherst
推荐引用方式 GB/T 7714	Redvers, Nicole,Hartmann-Boyce, Jamie,Tonkin-Crine, Sarah. Patient-planetary health co-benefit prescribing in a circumpolar health region: a qualitative study of physician voices from the Northwest Territories, Canada[J],2024,14(3).
APA	Redvers, Nicole,Hartmann-Boyce, Jamie,&Tonkin-Crine, Sarah.(2024).Patient-planetary health co-benefit prescribing in a circumpolar health region: a qualitative study of physician voices from the Northwest Territories, Canada.BMJ OPEN,14(3).
MLA	Redvers, Nicole,et al."Patient-planetary health co-benefit prescribing in a circumpolar health region: a qualitative study of physician voices from the Northwest Territories, Canada".BMJ OPEN 14.3(2024).